过去 30 年间 15 岁以下儿童伤寒和副伤寒的全球负担、趋势和不平等。

IF 9.1 2区 医学 Q1 INFECTIOUS DISEASES
Haitao Wang, Ping Zhang, Qi Zhao, Wei Ma
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引用次数: 0

摘要

背景:伤寒和副伤寒统称为肠道热,是由肠炎沙门氏菌引起的全身性感染,在儿童中发病率很高。我们旨在根据《2019 年全球疾病负担、伤害和风险因素研究》(GBD 2019)的数据,描述 1990 年至 2019 年 15 岁以下儿童肠道热的全球负担、趋势和不平等现象:在这项对《2019 年全球疾病负担研究》(GBD 2019)的二次分析中,我们提取了事件病例、死亡、残疾调整生命年(DALYs)数据,作为衡量肠道热负担的指标。我们估算了肠热病发病率、死亡率和残疾调整生命年率的年均百分比变化(AAPC),以量化随时间变化的趋势。使用不平等斜率指数和集中指数衡量了肠热病发病率的跨国不平等情况:2019年,全球伤寒和副伤寒病例分别为4 833 282例和1 793 172例,均低于1990年。经二次分析,1990-2009年,副伤寒发病率下降速度快于伤寒,而2010-2019年,副伤寒发病率(AAPC=-3.78,95% CI:-4.07,-3.49)下降速度慢于伤寒(AAPC=-4.32,95% CI:-4.50,-4.13)(P 结论:副伤寒发病率下降速度快于伤寒:自 1990 年以来,全球肠热病的疾病负担和各国之间的不平等程度都有所下降,但 SDI 低的国家仍是一个值得关注的地区。从大洋洲和西欧前往流行地区的旅行者应特别注意肠热病的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global burden, trends, and inequalities for typhoid and paratyphoid fever among children younger than 15 years over the past 30 years.

Background: Typhoid and paratyphoid fever, collectively known as enteric fever, are systemic infections caused by Salmonella enterica and are highly prevalent in children. We aimed to describe the global burden, trends, and inequalities of enteric fever among children under 15 years from 1990 to 2019 based on data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019).

Methods: In this secondary analysis of GBD 2019, we extracted data for incident cases, deaths, disability-adjusted life-years (DALYs) as measures of enteric fever burden. We estimated the average annual percentage changes (AAPC) in enteric fever incidence, mortality, and DALYs rate to quantify trends over time. Cross-country inequalities in enteric fever incidence were measured using the slope index of inequality and concentration index.

Results: In 2019, the global cases of typhoid and paratyphoid were 4 833 282 and 1 793 172, respectively, both lower than those in 1990. On secondary analysis, paratyphoid incidence decreased at a faster rate than typhoid from 1990 to 2009, whereas the incidence of paratyphoid (AAPC = -3.78, 95% CI: -4.07, -3.49) declined slower than that of typhoid (AAPC = -4.32, 95% CI: -4.50, -4.13) from 2010-2019 (P < 0.05) at the global level. The incidence burden of enteric fever increased in Australasia (AAPC = 1.28, 95% CI: 0.77, 1.78) and Western Europe (AAPC = 0.77, 95% CI: 0.44, 1.11). Death and DALYs burden in low socio-demographic index (SDI) region showed an stable trend. A significant reduction in SDI-related inequality occurred, with the concentration index falling from -0.31 in 1990 to -0.22 in 2019.

Conclusions: The global disease burden of enteric fever and the magnitude of inequalities across countries have declined since 1990, but low SDI countries remain a region of concern. Travellers from Oceania and Western Europe to endemic regions should be particularly aware of the risk of enteric fever.

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来源期刊
Journal of travel medicine
Journal of travel medicine 医学-医学:内科
CiteScore
20.90
自引率
5.10%
发文量
143
审稿时长
6-12 weeks
期刊介绍: The Journal of Travel Medicine is a publication that focuses on travel medicine and its intersection with other disciplines. It publishes cutting-edge research, consensus papers, policy papers, and expert reviews. The journal is affiliated with the Asia Pacific Travel Health Society. The journal's main areas of interest include the prevention and management of travel-associated infections, non-communicable diseases, vaccines, malaria prevention and treatment, multi-drug resistant pathogens, and surveillance on all individuals crossing international borders. The Journal of Travel Medicine is indexed in multiple major indexing services, including Adis International Ltd., CABI, EBSCOhost, Elsevier BV, Gale, Journal Watch Infectious Diseases (Online), MetaPress, National Library of Medicine, OCLC, Ovid, ProQuest, Thomson Reuters, and the U.S. National Library of Medicine.
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